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Flexible Spending Question For International Surgery... Help!



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I am hoping someone can help me with this or has an experience to share.... I am posting this in the MX forum also...

I have set aside $7500 in FSA funds (Flex Dollars) for my surgery in MX with Dr. Rodriguez.

So, I called my insurance company (United HealthCare) to discuss what i will need to submit a claim if my card doesnt work in MX. Right off the bat, the lady tells me that they WILL NOT accept anything International. When I asked her why not, she had no answer. I asked here if that was a UHC rule or the IRS. She said that UHC goes strictly by the IRS guidelines. So, I asked her to find for me where it said that FSA could NOT be used for international medical needs. She couldnt obvioulsy because there isnt any place on the IRS website under FSA that says yes or no to international surgeries being covered. She said to do my homework and have all the bills in USD$ ready for submission. Needless to say, that wasnt a good enough answer for me. This is not something that I can take a chance on not being reimbursed for.. this is alot of money!

So I spoke to my coordinator yesterday and the $10 credit card (my FSA Mastercard) went through! Yay!, right? Not so fast. I then get an email stating that "I cannot however guarantee that they will accept all of this for reimbursement of FSA claim since it is out of country. I just want you to be clear that while we will help with the forms there are sometimes codes etc that are requested on the forms that are not necessarily internationally interchangeable. We will do our best to help but since this a self pay surgery we cannot be responsible if the claim is not reimbursed" Crap! Now I am all confused, again!

Can anyone give me any advice on how to handle this? What was your experience using FSA dollars and how did you handle using the flex card or submitting the paperwork to get reimbursed?

I would also like to say that I have scoured the internet looking for information and cannot find anything that says I CANNOT use my FSA for international medical needs. The following website states that it IS allowable but I dont know if this will hold up in my defense of getting reimbursed!

https://www.myfbmc.c...sa.aspx#fsa_18a

Q

Can I be reimbursed for medical services obtained in a foreign country?

A

The services can be reimbursed, but not the lodging or transportation expenses. When you submit your claim, you must include English translations for any foreign receipts that are not in English. Also, you must convert the cost to the applicable U.S. dollar amount, using the currency exchange rate as of the date that the service was provided

http://www.obesityhelp.com/forums/mexico/4075601/Using-HSA-FSA-funds-for-lap-band-surgery-in-Mexico/

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I suggest you talk with an accountant, but I think a cash advance and international money order would do . I don't see why you can't claim it as long as you have proof that you spent it on medical issues.

I do have a question, I thought the maximum you could deposit into a Flex account was 5000.00 ?

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I found this link for others that have used FSA..... I guess I am going to have to make sure my ducks are in a row and just do it!

http://www.obesityhelp.com/forums/mexico/4075601/Using-HSA-FSA-funds-for-lap-band-surgery-in-Mexico/

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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